WSR 12-09-017

INTERPRETIVE OR POLICY STATEMENT

HEALTH CARE AUTHORITY


[ Filed April 5, 2012, 2:19 p.m. ]


NOTICE OF INTERPRETIVE OR POLICY STATEMENT


In accordance with RCW 34.05.230(12), following is a list of policy and interpretive statements issued by the department of social and health services.


Health Care Authority (HCA)

Legal and Administrative Services



Document Title: Provider Notice 12-25.

Subject: Prior authorization requirements for selected surgical procedures.

Effective Date: April 15, 2012.

Description: Effective for dates of service on and after January 1, 2012, until April 14, 2012, the medicaid program of the health care authority (the agency) will change procedure codes from noncovered to covered without prior authorization (PA):

Effective for dates of service on and after April 15, 2012, the medicaid program of the agency will update procedure codes to be covered with PA through Qualis for clients twenty-one years of age and older:

Effective for dates of service on and after April 15, 2012, the medicaid program of the agency will update codes to be covered with PA through HCA for clients twenty years of age and younger.

For additional information, contact Amber Dassow, HCA, P.O. Box 45504, phone (360) 725-1349, TDD/TTY 1-800-848-5429, fax (360) 586-9727, e-mail amber.dassow@hca.wa.gov.

Washington State Code Reviser's Office